NEW. The new IOLMaster 500 from ZEISS Defining biometry. Markerless Toric IOL Alignment
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1 NEW The new IOLMaster 500 from ZEISS Defining biometry Markerless Toric IOL Alignment
2 The moment you trust the experience of 100 million IOL power calculations. This is the moment we work for. 2 // IOLMASTER 500 MADE BY ZEISS
3 Gold standard biometry with the new ZEISS IOLMaster 500 The IOLMaster from ZEISS revolutionized the field of IOL power calculations. For over a decade, we have partnered with surgeons like you to continue improving the gold standard in biometry. With the new version of the ZEISS IOLMaster 500, we are continuing the success story the numbers speak for themselves: More than 3 out of 4 surgeons worldwide working with optical biometers trust the IOLMaster devices for their IOL power calculation. 1 More than 200 IOL models can be found in the User Group for Laser Interference Biometry (ULIB) with optimized A-constants for the IOLMaster. 2 More than 40,000 surgeries contributed to enhancing IOL power calculation with the IOLMaster by providing optimized A-constants in the ULIB. 2 More than 100 million power calculations have already been successfully performed with the ZEISS IOLMaster. 1) Leaming DV, 2010 Practice Styles and Preferences of U.S. ASCRS Members Survey 2) Haigis W, 3
4 Working with gold standard biometry The ZEISS IOLMaster 500 highlights When you work with the new version of the ZEISS IOLMaster 500 you not only directly experience the result of continuous refinement; you also get a piece of cutting-edge technology that points the way to the future of optical biometry. Improving refractive outcomes Exclusive formula integration, more than 200 optimized lens constants and unique telecentric keratometry for refractive outcomes you can trust. 3 Advanced measurement of challenging eyes Up to 20 % higher measurement success ratio for dense cataracts. 4 Measurement along the visual axis, even with staphyloma, pseudophakic and silicone-filled eyes. Proven toric outcomes Toric outcomes proven by large number of peer-reviewed, published scientific papers. 5 Markerless toric IOL alignment New reference image capabilities, as the starting point of a game-changing, streamlined markerless toric workflow. Ease of use Well-designed user interface, plausibility checks, distance-independent measurements and speedy readings for one-of-a-kind usability and reduced chairtime. 6 Superb connectivity: Ties in the A-scan ultrasound Universal ultrasound interface to connect the dedicated ultrasound A-scan device for a better workflow and improved quality. 4 3) Aristodemou P, Knox Cartwright NE, Sparrow JM, Johnston RL, Intraocular lens formula constant optimization and partial coherence interferometry biometry: Refractive outcomes in 8108 eyes after cataract surgery, J Cataract Refract Surg Jan;37(1): ) Rivero L, IOLMaster Version 5 vs. Lenstar LS900, presented at 2010 AAO MEACO Joint Meeting in Chicago, Illinois. 5) Bullimore MA, The IOLMaster and determining toric IOL Power, White Paper, Carl Zeiss Meditec, ) Chen YA, Hirnschall N, Findl O, Evaluation of 2 new optical biometry devices and comparison with the current gold standard biometer, J Cataract Refract Surg Mar;37(3):
5 5
6 Improving refractive outcomes Holladay 2 integrated The ZEISS IOLMaster 500 exclusively has the recognized Holladay 2 formula on board. You can continuously minimize your prediction error for IOL power calculation. Just enter the postoperative refraction of your patients all other data is automatically fed into the Holladay 2 software calculation. Over 40,000 cataract surgeries evaluated for better refractive results The extensive clinical experience of the ZEISS IOLMaster 500 is refl ected by the User Group for Laser Interference Biometry (ULIB) website. The ULIB database contains more than 200 lens constants continuously optimized with over 40,000 sets of patient data created with the ZEISS IOLMaster absolutely unique in the industry. 2 Telecentric keratometry The new ZEISS IOLMaster 500 is the only optical biometer to feature distance-independent telecentric keratometry. It enables robust and repeatable measurements due to constant spot center distances. Thus the ZEISS IOLMaster 500 shows excellent agreement with manual keratometry while achieving superior precision performance, making its keratometry the most trusted among cataract surgeons. 7 The IOLMaster has signifi cantly changed the way biometry is performed and continues to do so. Prof. Kenneth J. Hoffer, M.D. Santa Monica, USA 6 2) Haigis W, 7) Bullimore MA, Buehren T, Bissmann W, Agreement between a partial coherence interferometer and 2 manual keratometers, J Cataract Refract Surg in press
7 Advanced measurement of challenging eyes Dense cataracts In denser cataracts the ZEISS IOLMaster 500 achieves a measurement success ratio that is up to 20 % higher than that of other optical biometry devices. 4 The underlying composite signal evaluation not only increases the fraction of cataracts measurable with optical technology, but it also greatly increases signal-to-noise values. Post-LVC eyes The ZEISS IOLMaster 500 includes the Haigis-L formula which is dedicated to myopic and hyperopic post-lvc cases and is very convenient as it requires no clinical history data. 8 Staphyloma, pseudophakic and silicone-filled eyes Even with staphyloma, pseudophakic and silicone-fi lled eyes the ZEISS IOLMaster 500 measures along the visual axis, yielding the relevant axial distance. Reliable IOL power calculation for post-lvc patients with the Haigis-L formula. The ZEISS IOLMaster 500 simplifi es IOL power calculation for patients with prior laser vision correction. For me, there are only few innovations which have revolutionized cataract surgery. The IOLMaster is one of them. Prof. Dr. Wolfgang Haigis Würzburg, Germany 4) Rivero L, IOLMaster Version 5 vs. Lenstar LS900, presented at 2010 AAO MEACO Joint Meeting in Chicago, Illinois. 8) Haigis W, Intraocular lens calculation after refractive surgery for myopia: Haigis-L formula. J Cataract Refract Surg Oct;34(10):
8 Proven toric outcomes The results of a meta-analysis of 28 published clinical papers covering more than 1900 cases speak for themselves: you can trust the ZEISS IOLMaster 500 for toric IOL power calculation! It was shown that the reported clinical outcomes for the ZEISS IOLMaster with regard to residual astigmatism [...] exceed, or are at least as good as those using manual or automated keratometry. 5 Mean reported reduction in astigmatism The reference image allows precise alignment of toric IOLs and simplifi es workfl ow. That s definitely the future of cataract surgery. Prof. Oliver Findl, M.D. Vienna, Austria 8 5) Bullimore MA, The IOLMaster and determining toric IOL Power, White Paper, Carl Zeiss Meditec, 2013
9 Markerless toric IOL alignment Option Reference Image The new Option Reference Image is the starting point of a markerless toric IOL workflow: An image of the eye is taken along with the keratometry measurement. Both reference image and keratometry data are transferred to the ZEISS CALLISTO eye computer-assisted cataract surgery system. Finally, all data needed for precise and markerless toric IOL alignment is injected in color and high resolution where it is needed in the eyepiece of the surgical microscope from ZEISS. The new Option Reference Image for a markerless toric IOL workflow. Automatic astigmatism detection The new ZEISS IOLMaster 500 automatically acquires the reference image in case of astigmatism. The reference image is displayed on the report so your practice staff can recognize the astigmatism and you can take the treatment option of a toric IOL into account. As landmarks for intra-operative matching, small blood vessels are used. 9
10 Ease of use Well-designed user interface The highly intuitive ZEISS IOLMaster 500 design sets standards in easy-to-delegate biometry. Common sources of error are eliminated through an easy-to-understand traffi c light indicator. Plausibility checks With the integrated automatic mode right-eye and left-eye values for axial length and corneal radii are compared and checked for plausibility providing confi dence especially for challenging eyes. Automated workflow The Dual Mode facilitates measurements of axial length and keratometry without the need for manual interaction minimizing acquisition and chairtime. Distance independence The unique distance-independent telecentric keratometry is one of the reasons for the outstanding ease of use of the new ZEISS IOLMaster 500. Focusing becomes much easier. Chairtime The average time needed to take a reading on the ZEISS IOLMaster 500 is up to 4 times faster compared to other optical devices. 6 A difference you, your team and your patients will notice every day. If you asked my staff which optical biometer they would go for, the answer would clearly be: the IOLMaster. Prof. Sabong Srivannaboon, M.D. Bangkok, Thailand 10 6) Chen YA, Hirnschall N, Findl O, Evaluation of 2 new optical biometry devices and comparison with the current gold standard biometer; J Cataract Refract Surg Mar;37(3):
11 Technical data IOLMaster 500 from ZEISS Measurement range Axial length mm Interfaces Ultrasound data link Display scaling IOL calculation formulas Corneal radii 5 10 mm Anterior chamber depth mm White-to-white 8 16 mm Axial length 0.01 mm Corneal radii 0.01 mm Anterior chamber depth 0.01 mm White-to-white 0.1 mm SRK II, SRK / T, Holladay 1 and 2, Hoffer Q, Haigis Clinical history and contact lens fi tting method for calculation of corneal refractive power following refractive corneal surgery Haigis-L IOL calculation for eyes following myopic / hyperopic LASIK / PRK / LASEK surgery Calculation of phakic anterior and posterior chamber implants Optimization of IOL constants Line voltage Line frequency Performance consumption Laser class 1 ZEISS eyecare data management system FORUM ZEISS computer-assisted cataract surgery system CALLISTO eye (via USB) Data interface for electronic medical record (EMR) / patient management systems (PMS) Data export to USB storage media Export database for Holladay IOL Consultant and HIC.SOAP Pro Ethernet port for network connection and network printer V ± 10 % (self sensing) Hz max. 75 VA Superb connectivity Connect to ultrasound Connect your compatible ultrasound devices directly via Option Sonolink. This new ultrasound interface is LANbased, workfl ow improved and open for various qualifi ed ultrasound manufacturers. Connect to OR The new ZEISS IOLMaster 500 is part of the ZEISS Cataract Suite markerless, providing all relevant diagnostic data when it is needed and where it is needed. Connect to IT For integration into electronic medical records (EMR) and practice management systems, the new ZEISS IOLMaster 500 provides an interface based on wellknown DICOM standards. 11
12 0297 IOL.6569 EN_32_010_002II CZ-V/2014 The contents of the brochure may differ from the current status of approval of the product in your country. Please contact our regional representative for more information. Subject to change in design and scope of delivery and as a result of ongoing technical development. IOLMaster, FORUM and CALLISTO eye are either trademarks or registered trademarks of Carl Zeiss Meditec AG. Carl Zeiss Meditec AG, All copyrights reserved. Carl Zeiss Meditec AG Goeschwitzer Strasse Jena Germany
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